Research evidence suggests that racism is both anticipated and experienced in healthcare encounters. For patients, racism is a serious breach of quality and accessibility of healthcare and maybe linked to inequalities in health outcomes. For healthcare providers, racism disrupts interactions with colleagues and patients and derails professional development. Despite evidence of discrimination, racism is difficult to discuss and even more difficult to monitor in healthcare settings. Our Swedish research project sees racism as a form of structural violence and, using participatory processes, seeks to build dialogue with a shared vocabulary, so racism becomes something that can be discussed and, crucially, reduced. We are interested both in individual experiences and the ways that wider structures facilitate and/or hinder the expression of racism in healthcare settings.  In discussion with an intervention framework devised to address the role of discrimination by healthcare practitioners in generating and perpetuating health inequalities in the UK, this panel will discuss processes through which we can realistically tackle racism for and with staff and patients.